Job Description

Status

Full-Time

Standard Hours per Week

40

Job Posting Category

Finance, Research

Job Posting Description

Subject matter expert in revenue cycle and all insurance related matters. Works hand in hand with PFS, SSC, Contracting & Pricing, Compliance and Foundation Providers, PER’s, Supervisors and Directors to optimize Foundation revenue cycle activities.

Key Responsibilities:

• Oversees revenue cycle operations for Department with the goal of maximizing revenue by implementing recommended processes and functions in compliance of internal controls.
• Reviews charge activity work queues and releases charges from Epic to payers in compliance with Charge Description Master (CDM) with a focus on appropriate capture and reporting of revenue.
• Analyzes, supports and follows up on complex revenue integrity initiatives.
• Provides Foundation subject matter expertise for insurance.
• Assists front end staff on insurance and organizational revenue integrity and charge capture policies and procedures.
• Coordinates new Attending and Fellow billing and coding training.
• Acts as the single point of contact for billing compliance and insurance audit escalations as well as annual billing and insurance plan updates.
• Provides subject matter expertise for contracting and pricing fee schedule updates, plan enrollment and non-covered benefit.

Minimum Qualifications
Education:

• High School Diploma/ GED required.

Office/Site Location

Boston

Regular, Temporary, Per Diem

Regular

Remote Eligibility

Part Remote/Hybrid

Pay Range

$58676.80-$93901.60 Annual